BUENA VISTA DISCOUNT PHARMACY


Address: 2223 Buena Vista St, San Antonio, TX 78207-3702
Phone: 2102263699

BUENA VISTA DISCOUNT PHARMACY (NPI# 1306015177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306015177
Entity Type Organization
Organization Name BUENA VISTA DISCOUNT PHARMACY
Practice Address 2223 Buena Vista St
San Antonio
TX 78207-3702
Practice Telephone 2102263699
Practice Fax Number 2102262130
Mailing Telephone 2102263699
Mailing Fax Number 2102262130
Enumeration Date 2008-02-26
Last Update Date 2008-07-29
Authorized Official Name MR. JESSE DE LA CRUZ (PHARMACISTS/OWNER)
Authorized Official Telephone 2102263699
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
11492 TX Ambulatory Health Care Facilities

Office Location

Street Address 2223 BUENA VISTA ST
City SAN ANTONIO
State TX
Zip Code 78207-3702

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City SAN ANTONIO
Zip Code 78207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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